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HomeMy WebLinkAboutBuilding Permit #00-0178 4. OWNER fllr-1Jsw 5. ARCHITECT It AJ 0 Ll:. a) 6. BUILDER 1::i..AJJ.s ~V 7. TYPE OF WORK New Construction-" Chimney a Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. II, 01 t Width / () 1 Depth J '-- S Yes No I< 7 - IS - t:> c::> I hereby certify that I have furnished infonnation on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this pennit for just cause. Furthennore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections. Amount Brought Forward .................. $ Park Support Fee ............. .............. $ SAC .. .. .. . .. .. .. .. .. . .. .. . .. . .. .. .. .. .. .. ... $ Collector Street Fee . ... .. .. . .. .. . .. . . .. ... $ Sewer Tap ......... ........ .................. $ License Check Fee .. ..~........... ...... $ Pressure Reducer .... ..-:le................ $ Meter Horn................................... $ ~ ~i~R~fr;~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS J74~ ItIJJl:}&.-wct)j) 3. LEGAL DESCRIPTION LOT II BLOCK J/. ADDITION fA} I:> 6-J) t:... c" 4) 9 E,; ~ A T~ .31.J .. 1. DATE 3 .- ~c - e6 ZONING K/ II 0. u-l-r- prD 25-3/7- [">32--Q A-o ~I (Name) toM.S~ ~AI (Name) .S ~.i+ Al t[t P E-L (Name) (Address) C~AJS.-r;~. ~131 Afltctfl.t UJ/. Fireplace a Septic a Deck a Alterations a Addition a Finish Attic a (Address) toM-{II-M\I' (Address) << (Tel. No.) (Tel. No.) (Tel. No.) 95..-s... r '7 t/..3 - .::J.. ~ S...5 Re-roofing a Porch a Re-siding a Finish Basement a x Signature license No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION Cf1} ()()(). C2.O USE OF BUILDING SPD TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 City: Pennit Fee ................................... $ 8..e1.r,c 5,)~ , r~ ~~.SC> ~b~OO I 00.00 35, s-o ~~J Plan Checking Fee . .. . .. .. .. . .. . .. . .. . .. ... $ State Surcharge ............................. $ ~.......11.~.J1.b..AG... $ ~tie EI~91em .P.lb~.................. $ Other ...........S~................ $ 1. White 2. Pink 3. Yellow File City Applicant Permit No. BP 00-0/18 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Her~ I (Widt~4~J.DePth)" 10 12. NO. OF STORIES I./' 14:1. 13. TYPE OF CONSTRUCTION r-f-A-f'\~ 14. FLOOR AREA APPORTIONMENT USE 11..5~ 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE Date MATERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA a PILING LOGS a PERCOLATION TESTS a PLANS & SPECS a SURVEY a SETS COPIES PLOT PLAN a ~so. ~ 4JCD · Of::) t.fS .oe .~ (C - /1f{ The eeRIer of Ihe L.ke CouRlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /1; --t' . //' / /L > .~ ~ -.. ..... I '-.:> / . --~.; I (' ''-''17,./ ',,' , /'--- . / I ,/ I (/ .I The Building, Engineering, and Planning Departments have reviewed the byilqing fE1rFflJf application for construction activity which is proposed at: (} ,I) . I ,I Y / ' / ----;;- (' .. , ) I I /.'.c.-/ ~ _ v.' " / ,(~',)(!:7 (~~ I V (i..f.-" . .' Accepted v Accepted With Corrections Denied Reviewed By: /~ i)~- Date: 5 r- ~D~ 6f:) Comments: t-l/( F, ~~ y{Jv~ fA)~ &ti 0~ \:v~~ I~ ~ \Jkv f.Z..C).tJ l'D Cu/b" \' liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~ /7) - (7 r/ Tht' Ct'ntt'r of tht' Lakt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /-I/lNSSN CtJ/lJ~'IK-. 3/2-0/(10 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7L/Z0 ,.e,I066 woofl ~{. Accepted Accepted With Corrections ->< Denied ....... Reviewed By\-d2l?r ~ Comments: Date: 3 - :2~"" ~ I.. ~ea&- ll'-l a.1ta~ ltl~k liThe issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ..t Job Address /'7iJt rJ)4-~r /. Heating Contractor I Controlled Air Name of Tester ~ Date P//~ Percent 02 5:7 . Percent CO2 "./ Percent CO 0 Stack Temp. 3~) " ..~ (t~/\ \~\ ,~/ . \ ~ ~NEr:P GREEN - FILE YELLOW - APPLICANT GOLD - CITY S.W.No. (Ju - on; CITY OF PRIOR LAKE SEWER AND WATER PERMIT APPLICANT: 0 ILl:r I+bt. f)(C. ADDRESS: I Co " j? .J OpLX-J l..VA'1 ( L k Ul.) SIGNATURE: \. ~, \0......0-" SITE ADDRESS: ,,1{2G:, R~i>c.t iA.)oc.o C J- . FILL IN THE BLANKS 1. Estimated length of water service , \ 2. Size of water service I inch(es) . 3 . Location of any couplings from structure 4. Type of sewer pipe. ABS PVC K l{OI 5. Estimated length of sewer line 6. Clean out (if required), located at structure. This application es your permit when approyed./ DATE: 3/~, {n.J , , ------------------ ------------------ NOTE: Sewer and Water contractors must be registered with the City. PHONE: ~ ~.1 -, ~ b t DATE:3)J..J()(J I BLDG. PERMIT # (flJ'(,\ 17 (, PID#-.Z~ - ~rl'- O:Z~-() , ,/Jor pJ~ , 40 feet. -. feet. Cast Iron feet. feet from -------------------------------------------- -------------------------------------------- BY ---------------- ------------------------------------------------- ---------------- ------------------------------------------------- FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $t1~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID RECEIPT # REC'D BY AMOUNT PAID 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ~~i ri!!99 f CITY OF PRIOR LAKE Me t'{ 'S ~ ~ ~ 16200 EIg'. Creek Av. S.E. P8Iml' No. ()t) - 0 l'7 ~ LJ ~ Prlar Lake, UN 55372 -. Y ~ HEATING APP UCATI ON , PERMIT ,( S"vIe F....' "..-"" ,.../ ~ . f U ConmeJclel Oal. c:J - 2) -l..A-.J PfD . . ~S ... :S(1 - 03~ - () R,rlhPIA.,~O (;/-. lot J \ Block Ll Addla. W~cAoA Q./ ~l b OW......N.... ~A~P^) - r;.A1.~' 6 Sill Addlesl /7 -if ~ C, TYPE OF STRUCTURE /" 1\YQ.Famly 111_.111.' I. an- I. ,.. .., o...w Pubic Mulll-F"" Oller ~ c.n "- ~ c.n "- ~ ~ Fe. Behlour. $~ A{{tVlnduSIJR'. Commerd-' " MuI1I-Famly R..ldIRGal. H.aU"g & AC Re.ldent.l. He.11ng O"1f R.sIdenllaf. Gal Fiteplac. ReskllRtt.'. Addillofts I Aller.Uo.. R_denllal, AC Only Addl... . Heating OontaclOr C~)Wk ~ (l/f ,r Addre. f;)ffJl (') 61 ~ IJ A ~, Tel.phone' , ~t;o - ~~.=l FurftaceMat.'ModII ~Ale. " ~~TYPEOFSYSTEM , , W..m Ak PlaRlt Modit Sill 7{Jx f)~ Cq ~ Gravhy M.chanicll AIr Candkionlng ~ v.nl Spt.m V~AJ,JHfl~ HeAnNQORPOWERP~T 51,am Hot W.tOl Radia1lon Spedal D.vlce. . Conn. load . Fue1 A/HI- Flue Sill PlJt_ q A.lum Operir1gl. t/ Input ,r:f' .~~ OUtput c:5'~ ~nn t . SvJJPI~ Oplrintl Ed,. OtMI Dlfce. Cfm. TYPE OF WORK v Met.Uon. Replaclmlnt New Construction Etl. Camp. 011. , . Ivldlng P.""., . Rlpalr &t. CoI' I (jl) -()\1'6 HEAlING PERMIT FEE1 STAlE SURCHARGE . roTAL PERMIT fEES ,. .50 ~ Aec.~, .-< ., 1% 01 Job coil (81.60 ..........) 119.60 Se4.50 sal.50 139.60 hl.50 ..... VJ ~ I\J MAY 5 2fXXJ n o Z -i AJ o r r m t:I D - AJ R.membl' '0 Idd Ib, Sllll Surch... en 11. bolom oj ... .pplicllloa. The pdce or '0.' h..llng pennh Includea on. lOuth-in and an. IinIIln.....n. Addllionallnspectionl wi be billed ., 135.00 each. Hou'8 BeaUn" TaM RecDfd musl'" "'ttd wJth bulldlna DlJDJlIIIIdIH..... buld- In, c.....ic.'. 01 occupancy wit b. luued. . HF4T ~~, ~UI ATIQHI qr.flW8EIl wIOI numb.. of Iupplr and fe1urn apInInglllted per .oom wilh CFM., per OPining. NI. atructvru or adclllons ..nd....r ,... wlhtuppl, end "'un, locallonl aIMJwn. HEAT lOSS CAlCUlATIONS. PAYMEtn' AND- ^PPlICATIONS M^Y BE MA'LEO TO THE CITY OF PRIOR lAKE. ,.. EACI.E CAEt:k AVE. '::.1= PRIOR LAKE', MN 55372.- Cftr Hal buslRe.. hours ar.8 a.m. · 4:30 p.m. ALL WORK MUST 8E INSpeCTED (ROUGH.1M AND FINAL) · CALL an' HILL 441-4230 ffl D -i - Z Gl D Z t:I D I n + (TI ..... I\J ~ ~ ...J ~ I\J ~ c.n I he,eby .pply tor 8 mlchllnlca'.yalem. permU and I .cftnGWI.....ltllllh. Inlorm.'lon aboye'l Clomple'. ltUlaccur.'.; ltal Ih. work wm.. ..........m.noe wUh Ihe ordinance. and cad.. of It" eRr Ind with 'he .lltl "'I""',,~~n'o" cod..: Ih.t thl. lo,m doe. not become a p.rmlt un'" II,n.. br ... 8Ul.DINB . OFFICIA~ 111.' Ihe work win b, In Icc:ordance with the .,pm" ....." the ! ca.e 01 all wa.k whlGh requl... .evlew Ind approYaI 01 pi.... Zoh ft7~. - - I, ""pIc,.... Igna''r. ~ /1~ ,;.tll~, 'I 1.'/ -' 1"1"" t!."~,, ) (j Nr"~ _Z P VJ ...J ...J r'~ .~tr) ..... . (~ rJ9-(j() a.II ~ ~ ..... , - -, ~~~-~ "~,--_~ , i.,..r' CITY OF PRIOR LAKE PLUMBING PERMIT PPNo. ro- ()}7~ Applicant Ma#hpu) ~njItJ.s, Inti,. Phone:~SI) ~c:2.3 - d7,-~t) Address: jff~O (Jof'rouse) ~, .~ern~. MN .s.s-()~K Signature: 11.A r ' '-nI.~~ Legal De~criPtion. Lot '--j ~ Slack U 4 sUb...wooelr1d(ML. Site Address:_I'7~ cJ?;Ai CdLI~ ~r 0 - Building Permit # 0?~I''1 Y PIO # ~S--~I'1- os;?-o NOTE: This permit will not be processed without complete information. FIXTURE UNITS 1. Blue 1. Gold J. Ydlow file Clty AppIiCUlt 00 n. CftU<< ., t'" Lak. COUfttry MAY - 9 ml Quantity Type of Fixture Quantity / 8ath Tub with or without shower 3 I Dishwasher / / Floor Drain / Lavatory (bathroom sink) / I Laundry Tray (1 or 2 compartment sink) I Shower Stall I Sinks Bar Sink I Water Closet (toilet) Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Eje'ctor 8acktlow Assembly (RPZ, Double Check. P'I:: Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-Family (1 %, of job cost. $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 $ $ qq.5() $ $ .50 GRAND TOTAL $ 1M. tieL 'z1 ~. This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of th~ State Pl~mbing Cod d the JIll d~nts thereof. " 1 RE NO..) j 0 DATE ---1 ~ \ . ,,' Al1cST f or all insp lions 24 bours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / F.AJ( (612) 447-4245 An Equal Opponunicy Employer , PRIOR LAKE INSPECTION RECORD DEPAF\TMENT OF BUILDING AND INSPECTION SITE ADDRESS 17L 9J.D ~ Q ~ . NATURE OF WORK Ne.w ~ USE OF BUILDING ~FD PERMIT NO. ()1)- OIZf') DATE ISSUED 3-2:S--20olJ CONTRACTOR ~~ ~. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING h INSPECTOR DATE 6/4/1)1) , ,I FOUNDATION (Prior to Backfill) . ~, 51lt/ob PLACE NO CONCRETE UNTIL ABOVE HAS BEE/N ~IGNED ROUG~ - INS ( SEWER I WATER I SEPTIC \~ . ~.., ~ / e 2, f ~ FRAMING t!y I . fp 1,341 INSULATION '9 b ,13. "1r!c/lJ / / ELECTRICAL ~ _ V PLUMBING I( f)~ "!It/Ill HEATING (if required) I (/ (j, J oil 41 6""0 FIREPLACE I / ) GAS LINE AIR TEST ,~ (J> 4)J'l!J) I COVER NO WORK UNTIL AfoVE HAS BEEN SIGNED ~ GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have beeD apprraved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FINALS 61(' . ~ 'f. J.I) ....., tfr;r, /!i:r ./ I I Yly/trI P/1/~ Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 4, HOUSE HEATING TEST ADDRESS f7V~ jQ.J~ ~ ~ r OCCUPANT HEAT LOSS SOLD BY Electrical Wark By TYPE OF HEA T DA TE HTG. INST. GA .FAJ/HW c: GAS DESIGN MAKE _I;~, Mod.1 1""u~r);. a,~c; oJo Serial pc,r.,t; Y13'..b~ INPUT -I'-r;, ~ ~ THERMOSTAT Va Ive _ Limit limit Setting Fan Setting _ Pilot Type Pi lot Male. Pilot Model. Pilot Timing L. W. Cut Off Pressure "5;, S- o " Input CFH Stack Temp. "J.J:5'"' Form 235 CONTROLS Heat Plug -~ P.rcent CO2 -;;7 Percent 01 y; '7 Percent CO ~ RECORD .APT. OWNER. FLOOR STEAM INSTALLED BY CONTROLLED AIR Gas line By CONTROLLED AIR SPACE HTR. UNIT HTR. ' MAKE OF BURNER Mod.1 _ Mo.. BTU Rating MAKE OF FURNACE Mod.1 _ Vent Size ~ KIND OF LINER Draft Hood _ Fi It.... Size o..lmney Location ~s.ide Chimney Construction to \ ~ Smoke Bomb Draft Door Pr..sure_ Date Te.ted ~/ ~ Company T.sfing CONTROLLED AIR Name of Te.ter ~ CITY / ./ OTHER CONVERSION . SIZE. RegulaTor Number, _ Outside . Wiring T.st Tag Lightint Inst. SUBURB .NONf TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED tl ~ (fl) ADDRESS llA 2..G OWNER PHONE NO. PERMIT NO. () -/78 o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 EWER HOOKUP /1A\) 0 FIREPLACE FINAL ~FINAL LUMBING FINAL' (t;; 0 GASLlNE AIR TST o SITE INSPECTION 0 CO~TS:(D) ~...J';.""':~ ~ t:> ~ ~ rdtrtn. ~ t;(,a( tAd- ~ ~ ~~ ~ ~ ~ p~"-t.JL ~ lJ-L ~ ~ ~/B: ~~ @ ~~~ +-15~ 'f<, ~ ~ ~ ~ -fNZ>lc t'>-::1 .~ '~. ~ ~ t:#IrtL ~~~~~ _' _ _~AA"~ /J {/ U ~~ ~~~~ (t~ ~ ~ ~ tA- ~ WrJ-RL ~ ~:~~1(q-~. ~.~ 7~ ~ ~~. uk:tl;v rvt.itLN .- ~ - tJ~ ~. ~. - ~ . o WORK SATISFACTORY, PROCEED ~ ~ CORRECT ACTION AND PROCEED )( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING t5(&j' ~ -- ~ - Inspector: ltJ.,.f- ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATe TIME CITY OF PRIOR LAKE 52'Z~ 1\ ~ CD INSPECTION NOTICE SCHEDULED ADDRESS \/42Co ~ewecJ. Gt- OWNER CONTR. PHONE NO. PERMIT NO. 0- t7f{ o FOOTING 0 PLUMBING RI o FOUNDATION ~ ~ECHRI o FRAMING 't:Y WATER HOOKUP o INSULATION IFJ) WER HOOKUP o FINAL ~ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST Q COMMENTSm ~ ~~o-.-J f' fQ 0v/1 4J2j-~ ~ ~. (j f //5 t(4l( ~v ~ l-l~\ , .. tf1' ~ /~( It l<-"~ - f\.tS . ~ ~~~.;-?~' uA-, 11( 11/6 ~ '-/0 ~ {~~. - 5~A((( J1L-. ~ WORK SATISFACTORY, PROCEED ~. CORRECT ACTION AND PROCEED o CORRECT WORfitK CALL FOR REINSPECTION BEFORE COVERING Inspector: I Owner/Contr: I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED e -Z I }K.5 g :-co ~-&j<-wcxrl G- CONTR. ADDRESS l14 ~ OWNER PHONE NO. PERMIT NO. 0-/78' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP SEWER HOOKUP o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o (fJ) MECH FINAL COMMENTS: M.t.d- - ~ ~ (!i~ ~ ~ ~ F:{>, ~ ~ ..:x:* A:T-, ~ ~ U---4,J) , @~~~~-r-~ (/ "-.J 1"'- __ fJ /) _ (I , p~~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ .J Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTI